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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_953_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Dedication
- •Contributors
- •Foreword
- •Preface
- •Contents
- •Indications/Contraindications
- •Surgery
- •Conclusions
- •Complications
- •Results
- •Indications/Contraindications
- •Surgery
- •Technique
- •Complications
- •Results
- •Conclusions
- •Indications
- •Contraindications
- •Conclusions
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Introduction
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Acknowledgments
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Introduction
- •Indications
- •Contraindications
- •Results
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Introduction
- •Complications
- •Conclusions
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Introduction
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Acknowledgments
- •Introduction
- •Indications/Contraindications
- •Surgery
- •Conclusions
- •Complications
- •Results
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Indications/Contraindications
- •Surgery
- •Complications
- •Conclusions
- •Introduction
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Indications/Contraindications
- •Anatomy
- •Complications
- •Results
- •Conclusions
- •Indications/Contraindications
- •Surgery
- •Complications
- •Results
- •Conclusions
- •Introduction
- •Indications/Contraindications

DartmouthHitchcockMedicalCenter
Lebanon,NewHampshire
CarolineWright,MBBS(Lond.),MS,FRACS
RPAInstititeofAcademicSurgery
ConsultantSurgeon
DepartmentofColorectalSurgery
RoyalPrinceAlfredHospital
NewSouthWales,Australia
OdedZmora,MD
AssociateProfessorofSurgery
SacklerSchoolofMedicine
TelAvivUniversity
TelAviv,Israel
Chair
AssafHarofeMedicalCenter
Zrifin,Israel
MassaratZutshi,MD,FACS
StaffSurgeonandAssociateProfessorofSurgery
DepartmentofColorectalSurgery
LernerCollegeofMedicineofCase
WesternReserveUniversity
ClevelandClinicFoundation
Cleveland,Ohio

W
ForewordtotheFirstEdition
eliveinahigh-technologyworldwherethe“miracles”ofmodern
surgerymakeheadlinenewsaroundtheglobe.Itisnolonger
surprisingtohearofyetanotherstart-upmedicaltechnology
companythatpromisesanewsurgicaldevicethatwillsavecountless
lives,improveoutcomes,andsignificantlydecreasepainandsuffering.
Peoplefindthemselvesmesmerizedbywatching“keyholesurgery”
broadcastinhighdefinitiontotheirhometelevisionandfindit
surprisinglyelegantandbloodlesscomparedwiththeirpriormental
pictureofsurgeonsatwork.Soitisperhapsunderstandablethatmany
patientstodaygoonlinetofindsurgeonsandinstitutionsofferingthe
newestapproachesandlatesttechnology.Itseemsasthoughthemodern
surgeonarmedwithhigh-techdevicesanddigitalizedequipmentshould
beinvincible.Indeed,itiseasyforsurgeonstobeinappropriatelyswept
upbythesirensongoftechnicalinnovation.
Inthiskindofworld,onemightquestiontheutilityofyetanother
surgicaltextbook,especiallyonedevotedtooperativetechnique.
Fortunately,editorsStevenWexnerandJamesFleshmanhavecreateda
uniquepublicationthatisafarcryfromthetraditionaltextbookofthe
past.Thelistofcontributingauthorsincludesseasonedmastersurgeons
schooledintraditionaltechniquesandhighlyinnovativeresearchersand
entrepreneurswhoareexploringnewfrontiersofsurgicaltechnology.
Overthecourseoftheirbusyclinicalcareers,theeditorsthemselveshave
successfullybridgedbothperspectives.Theiruniqueexperiencesare
apparentinthisnew,tightlyeditedandhighlypracticaltextbookthat
emphasizestriedandtrueopentechniquesandnew,lessinvasive
techniques.
Drs.WexnerandFleshmanunderstandthatsurgicaloutcomesare
dependentonmanyfactorsincludingclinicalacumenandmature
judgmenttoguideindividualizeddecisionmaking.Buttheyalsoknow
thatsurgeonsmustmasterbasicoperativeskillsanddevelopafull
reservoirofdifferenttechniquesthatcanbeusedtofitthedemandsof
thecaseathand.Asimportantly,theyknowthatnomatterhow
revolutionaryorexciting,technologyhasitslimits.Innovationis
providingnewtools,butitisthesurgeon’sskillindecidingwhattoolsto
useandthewayinwhichtheyareusedthatdeterminesthesurgical
outcome.Operativetechniqueremainscriticaltominimizepatient
morbidity,curecancerandotherlife-threateningconditions,and
preservefunctionandqualityoflife.Allcolonandrectalsurgeonswill
findthisbooktobeavaluableadjuncttotheirpractice.Theartist’scolor
drawingsaresuperbandanatomicallycorrect.Thetextiseasytoread,

veryfocused,andusefulforbusysurgeons.Icongratulatetheeditorsfor
bringingthisbooktous.
DavidA.Rothenberger
August1,2011

S
Foreword
urgeryisbothanartandascience,andthereisnosubstitutefor
acquiringbothknowledgeandskilltothehighestlevelforthebest
outcomesforourpatients.Whenwetalkaboutmasteringasubject,
wemeanjustthis.Masterycomesfromrepeatingandrefininga
procedureuntilitisasgoodaswecangetit.Inthisweneedthehelpand
guidanceofmastersurgeons,andtheseexcellenttwovolumesprovide
justthat.Inthissecondedition,thetechniqueshavebeenbroughtright
uptodatewithstep-by-stepdescriptionsoftheessentialoperationsin
colorectalsurgerybycarefullychosenexpertsintheirfield.Itislavishly
illustrated,andthereisaccesstoacompanionwebsitewithanimage
bankandvideosoftheprocedures.SteveWexnerandJimFleshmanhave
doneagreatjobinrevisingandrenewingthisoutstandingcoupleof
volumesintheMasterTechniquesseries.
NeilMortensen
Oxford,UnitedKingdom
August7,2017

T
PrefacetotheFirstEdition
heMasteryofColorectalSurgerytextbookisatwo-volume
compendiumthatdemonstratesvirtuallyallofthecurrently
employedtechniquesforabdominalandanorectalsurgery.Allof
thechaptershavebeenwrittenbyinternationallyacclaimedexperts,each
ofwhomwasgivenliterarylicensetoallowthebooktobemorecreative
andlessrigorouslyformatted.Althoughsometechniquesareselfexplanatoryandtheauthorsthereforeconcentratedtheirverbiageupon
resultsandcontroversiessurroundingaparticulartechnique,other
proceduresaredescribedinamorealgorithmicmanner.Specifically,
sometechniquesrequireamuchmoreheavilyweighteddescriptionof
preoperativeand/orpostoperativeparametersratherthanintraoperative
variables.Thematchingofillustrationsandvideoshasalsobeentailored
tosuittheneedsofeachchapter.Becauseofthequantityofmaterial,the
bookisdividedintotwovolumes:onethatincludestheabdominaland
onethatincludesanorectalprocedures.Whilemanytextbooksvieforthe
attentionofsurgeonsintrainingandsurgeonsinpractice,theMastery
series,editedbyDr.JosefFischer,hasestablisheditselfastheresource
forexpertmanagementofeachtheme.Therefore,thisbookwas
deliberatelycraftedtoaugmentratherthantoreplaceseveralother
excellentrecentlypublishedtextbooks.Itisourhopethatthesevolumes
beusedinthatcontextsothatthereadercanlearnthefundamentalsand
basicsusingmanyotherexcellentsourcematerialsandthenrelyupon
theMasteryofColorectalSurgerybooksformoreclarityintermsof
reviewofveryspecificprocedures.Inthatsamemanner,thesebooks
performareadypreoperativeresourcebeforeembarkinguponindividual
procedures.
WewishtothankJosefFischerforhavingentrusteduswiththislatest
ofhisliteraryoffspring.Theprojecttookaconsiderableamountoftime
andeffort,andwecertainlythankhimforhispatience.Inaddition,we
thankourrespectivestaffinWestonandinSaintLouis,especiallyLiz
Nordike,HeatherDean,Dr.FabioPotenti,andDebbieHoltonfortheir
extensiveeffortsaswellasNicoleDernoskiatWoltersKluwer.Wewish
toexpressoursincerestanddeepestgratitudetoeachandevery
contributorfortheirtime,attention,expertise,andcommitmenttothe
project.Withoutourindividualchapterauthors,thisworkwouldnot
exist.Weknowthateachofthemhasmanysignificantcompeting
obligationsfortheirlimitedtimeandthankthemforhavingparticipated
tosuchanimportantdegreeinthisproject.Last,ourappreciationgoesto
ourfamiliesfortheirloveandsupportasitisalwaystimeawayfrom
themthatallowsustoproducethesetypeofbooks.Inparticular,

appreciationgoestoLindaFleshmanandtoWesleyandTrevorWexner.
StevenD.Wexner
JamesW.Fleshman

S
Preface
ixyearshaveelapsedsincewepublishedthetwovolumesofMaster
TechniquesinGeneralSurgeryoncolorectalsurgeryincluding
anorectaloperationsandabdominaloperations.Contentwiththe
overwhelmingpopularityofthatbook,wearepleasedandproudtooffer
youthissecondedition.Weareindebtedtotheauthorsandcoauthorsof
the117chaptersinthesetwovolumes.Wehopethatyouwillagreewith
usthatthesetwovolumesprovidebeautifullyillustratedand
authoritativelywrittenchaptersaboutvirtuallyeverycurrentlypracticed
colorectalsurgicaltechnique.
Wehaveendeavoredtomakeeachchapterrelativelyfocusedrather
thanbroadandtheauthorshave,asrequested,presentedclinically
relevantmaterialthatcanbereadilydigested.Wehavedeliberately
avoidedpublishingacomprehensivecompendiumabouteachsubject.
Thus,manyareasareaddressedwithmultiplechapterseachofwhichhas
itsownveryspecificviewandoffersclinicalguidanceonthebasisof
practicalexpertise.Whilethepreferencesoftheauthorsvary,manyfacets
withinthesetwovolumesarequiteconsistentincludingtheworldrenownednatureoftheauthorsandcoauthors,theconsistentlyhigh
qualityoftheartwork,andthestyleofthechapters.Wehopethat
readerswillagain,aswasthecasewiththefirstedition,findthesecond
editionofthesetwovolumestobeanexcellentclinicalresourceoften
consultedforbothpatientmanagementandacademicendeavors.
Weagainthanktheauthorsandcoauthorsofthese117chaptersfor
theirtime,efforts,energy,expertise,andcooperationwiththeauthor
guidelines,whichenabledustoofferyouthissecondedition.
StevenD.Wexner
JamesW.Fleshman

Contents
PARTI Hemorrhoidectomy
CHAPTER1
FergusonHemorrhoidectomy
AnthonyJ.Senagore
CHAPTER2
HemorrhoidectomyUsingaBipolarElectrothermalDevice(BED)
andVibratory(Harmonic)Energy(VE)
WilliamC.Cirocco,GuyR.Orangio,KurtG.Davis,andSyedG.
Husain
CHAPTER3
ProcedureforProlapsingHemorrhoids
JustinKellyandSamAtallah
CHAPTER4
Ultrasound-GuidedLigation/MucosalPexyforHemorrhoids
JosephT.GallagherandBethAnnShanker
CHAPTER5
RubberBandLigation
MitchellA.Bernstein,AlexisL.Grucela,andMichaelJ.Grieco
PARTII AnalFistula
CHAPTER6
Flaps(ExcisionandClosure,Mucosal,andSkin)

CarolineWrightandMichaelSolomon
CHAPTER7
FistulotomyandFistulectomy
ShotaTakanoandMaryliseBoutros
CHAPTER8
AnalFistulaPlug
BruceW.RobbandMarcA.Singer
CHAPTER9
LigationoftheIntersphinctericFistulaTract(LIFT):Updatewith
Mesh
MarcC.Osborne
CHAPTER10
LigationoftheIntersphinctericFistulaTract(LIFT):Without
Mesh
SyedG.HusainandAlanE.Harzman
PARTIII RectovaginalFistula
CHAPTER11
TransperinealApproach
G.WillyDavila
CHAPTER12
RectovaginalFistula:TransvaginalApproachwithBioprosthetic
Mesh
H.DavidVargas
CHAPTER13

RectovaginalFistula:TransvaginalApproachwithoutMesh
AliceFrontaliandYvesPanis
CHAPTER14
RectovaginalFistula:TransanalRepairs
SheriefShawkiandMassaratZutshi
PARTIV OperationsforFecalIncontinence
CHAPTER15
OverlappingRepair
LaurenR.Wilson,TracyL.Hull,andBrookeGurland
CHAPTER16
MagneticAnalSphincter
PaulA.LehurandMiaKim
CHAPTER17
SacralNerveStimulation
KlausE.Matzel
PARTV PerinealProlapseRepair
CHAPTER18
DelormeProcedure
DeborahS.Keller,HemanM.Joshi,andC.RichardCohen
CHAPTER19
EncirclementProcedureforRectalProlapseintheElderly
WarrenE.LichliterandDeborahS.Keller
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